Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019

Abstract

BackgroundPediatric burns of all the ages are prevalent worldwide, posing a severe health risk to children. This study aims to examine pediatric burns' clinical characteristics and epidemiology in central China.MethodsThe pediatric patients of the Burn Research Center, Department of the First People's Hospital of Zhengzhou City from 2013 to 2019 were retrospectively studied and the relevant data were collected from the hospitalized medical records [e.g., demographic, etiology, length of stay (LOS), age, gender, burn area and depth, number of surgeries, cost, and outcome].ResultsA total of 5,569 pediatric burn patients were included, accounting for 43.9% of the total burn population. Electric burns represented a relatively small proportion (1.17%) but were more likely to lead to disabilities or death than scalds (90.63%) and flames (5.12%). The median age was 2 years [interquartile range (IQR): 1–4] and the boys/girls ratio ranged from 1.3:1 to 1.6:1. The most commonly burnt anatomic sites were the limbs (38.3%), with a median %TBSA (total body surface area) of 6 (IQR: 4–10). The complications of shock and pneumonia accounted for 7.6 and 19.2%, respectively. The peak months of pediatric burns included January, May, and August and the rural/urban ratio reached 1.61:1. The percentage of burn wounds treated surgically increased considerably from 2013 to 2019 (3.8 vs. 37.8%). The median hospital LOS was 15 days (IQR: 8–28 days), with the three high-risk factors (e.g., more surgeries, more %TBSA, full-thickness skin burns). The median cost of hospitalization was 1,511 USD (IQR: 848–2,648 USD) and the main risk factors consisted of full-thickness burns, more %TBSA, longer LOS, and more surgical procedures. Among all the patients, LA50 was 78.63% (95% CI = 75.12–83.45) and the overall mortality reached 0.1% since seven deaths were recorded.ConclusionScalds, flames, contact, and chemicals are the main causes of burns among children aged 1–5 years in central China. Accordingly, various prevention strategies should be employed depending upon the cause of the burn.

Yanığı Olan Adölesanlarda Benlik Saygısı ile Sosyal Anksiyete Arasındaki İlişkinin Belirlenmesi

“…Numerous studies have investigated the clinical characteristics of children with burns (20)(21)(22)(23)(24)(25)(26)(27). The demographic characteristics and burn history of children with burns were similar to our results.…”

“…Santos et al (20) reported that burn injuries were found higher among boys and that most burns were due to hot liquid or objects in Portugal. In studies by Han et al (21) conducted in Central China and by Nthumba (24) conducted in sub-Saharan Africa, it was shown that boys had higher burn injuries than girls. A review study indicated that burns were more prevalent among low socioeconomic populations and undeveloped regions (27).…”

Factors affecting management outcome of burn injury Among Hospitalized under Five Children at selected public hospital in Kefa zone, south west Ethiopia.

“…Our nding also revealed that (4.6%) of participants were diabetic patients much different from study conducted in Iran (23.5%) (21).This signi cant gap may be due to the sociocultural and genetic variation of the study subjects. Pre hospital intervention was done for (31.5%) but relatively less than report is found study conducted in bahirdar (35.3%) and Mekele(52.8%) (9,14)which have signi cant impact on the management outcome of burn injury, children who have gotten pre hospital intervention has 0.2 times more chance to discharge without complication((AOR;0.20,95% CL(0.05-0.85),this supported by study in Bangladesh, Ghana and Nigeria (22)(23)(24). This discrepancy might be because of difference in accessibility of rst aid management and community awareness about pre hospital care.…”

Cost analysis of severe burn victims in Southwest China: A 7-year retrospective study

“…In China, there have been some published studies focusing on the medical cost of burns. In central China, a study reported that the median cost of pediatric burn inpatients was US $1,511 ( 33 ). Another study conducted in Wuhan suggested that the mean cost of pediatric burns was 11,210.76 and 1,630 CNY per % TBSA ( 34 ), which was lower than those in our study.…”